Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.44 / $2,040.00 / $10,268.00	Facility		$383.44	$2,040.00	$10,268.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $284.85 / $423.57 / $938.24	Facility	54	$284.85	$423.57	$938.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.25 / $388.67 / $688.36	Professional		$331.25	$388.67	$688.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.16 / $417.29 / $676.72	Professional		$303.16	$417.29	$676.72
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $447.07 / $447.07 / $447.07	Professional		$447.07	$447.07	$447.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $348.35 / $447.07 / $593.78	Facility		$348.35	$447.07	$593.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $413.06 / $525.71 / $127,498.73	Professional		$413.06	$525.71	$127,498.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.52 / $521.59 / $732.94	Professional		$386.52	$521.59	$732.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $665.91 / $665.91 / $665.91	Facility		$665.91	$665.91	$665.91
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $466.14 / $466.14 / $466.14	Facility	54	$466.14	$466.14	$466.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $388.24 / $525.71 / $755.73	Professional		$388.24	$525.71	$755.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $273.15 / $472.37	Professional		$34.85	$273.15	$472.37
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $311.77 / $482.42 / $774.55	Professional		$311.77	$482.42	$774.55